2301 Grandview Ave; 17-2308; ROOFCITY OF SANFORD
JULa Za 7 I BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Q Application No: a3d
Documented Construction Value: S V70
Job Address: 9501 C-r0,4'Ji'tw d a, Historic District: Yes No
Parcel ID: 31-1q - 31 G 11 -0000 —oz S-o Residential Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: C-e f uo 0+ 4-(`E( l-a, 123 S&1S 54 (4! klfS -k j f6l 10 w
Plan Review Contact Person: -1-' r' 0 (,A-akit'i Title:
Phone: YOU Fax: Emai1:M • 0 M a I` r C 2 Ii 2 M`• l°i`'
Property Owner Information
Name %tS pvk Mj.( V\4_ W5 Phone:
Street: 2So 1 Resident of property?
City, State Zip: Sa or e,Q l rL 5y' -T 1
Contractor Information
Name ?Ctrn\eCC b;rg arvo_ 0&rpPV1+ry Phone: tlol-S7$'-lekg3
Street: SCe ll CAcou-( Fax:
City, State Zip: FL 32Sso y State License No.: W o 5 J S g `-
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction
in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools,
furnaces, boilers, heaters, tanks, and air conditioners, etc.
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51' Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be
found in the public records of this county, and there may be additional permits required from other governmental entities such as water
management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required
in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal.
The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in
accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value,
credit will be applied to your permit fees when the permit is issued.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
Signature of Owner/Agent
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Permits Required
Construction Type:
Total Sq Ft of Bldg:
7-01
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
S ature ary-State of Florida Date
tl`RYa JONATHON ALLEN THOMAS
sso NOTARY PUBLIC
STATE OF FLORIDA
i Comm# FF055234
s NCE I expires 9/18/2017
Contractor/Agent is _Personally Known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Building Electrical Mechanical Plumbing Gas[] Roof
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
of Heads
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
IT -
Premiere Roofing and
Above all. it's a r>=r, _' iob!"
POWER OF ATTORNEY
To: &q 0 JC&V,0 4- Date: 12 i
I hereby name and appoint Team K- 5 Brian Kirby; Tim O'Malley; Aaron Hallich; Frankie
Jamarillo; Eric De Dios and David Weed to be my lawful attorney in fact to act for me and
apply for a Roofing permit to be performed at a location described as:
Section Township Range Lot Block Subdivision
Parcel ID: 31-)q 31-5/1-poo0-o'780
Project Location
Owner's Name
Owner's Address
V1r2S w r' i) "„Gvi iNf
A30/ Grar ufra.. vt . ,SzA ?, 3 Z7`1 f
And sign my name and do all things necessary to this appointment.
Signature of Contractor
Michael A. Morgan 057594; CBC056687
Acknowledge:
Michael A. Morgan is personally known to me.
Sworn and subscribed before me this I I- day of 3,,N , 20LI
Notary Public, State of Flori
4NRY4 JONATHON ALLEN THOMAS
o NOTARY PUBLIC
My commission expires o STATE OF FLORIDA
o Comm# FF055234
expires 0/18/2017
5611 Carder .Rd., Orlando, FL 32810 Tel. 407-578-6893 Fax 407-704-8967
F120 Lie. # CCC-057594 www.prcroofservices.com
P221
A&
Premiere hoofing and
y
Above all, lt'.c a Premiere job!"
I1 Others: 4i: D&R R&R
REENS / LANAI SPE : I'CATIONS i GUTTERS' SPECIFIC: IONS
11 Replace •reeds: walls SF oof SF I i_i Gutters: _ LF. D R&R
Enclosure S er Gutters: I F. D&R R&R J U. Downspouts. _ LP. b&R &R
Enclosure Fram 1 411. RRR
u Others: Others:
INTERIOR SPECIFICATIONS
14C lings T-texture R Repay PTmung J
Walk T=terturs. R-Repair P-Painting 7,
Floorinp Carpet Wood 'file u
Others: -- ADDITIONAL.
SPECIFICATIO \S: `` A j, CLARIFICATIONS:
1.
THIS CONTRACT IS FOR .ALL WORKTO BE PERFORMED BY PRC AS PER SCOPE OF WORE. AND PROCEEDSFROM INSURANCE
COMPANY UNLESS OTHERWISE STATED. 2. Owner responsible
for Law anti Ordinance/ Rotted Wood if not covered by insurance company. 3. If it
becomes' necessary to detach and reinstall gutters, I'RC CANNOT BE RESPONSIBLE FOR THE FINAL CONDITION OF THE
BUTTERS. 4. Deteriorated or
unsuitable wood members to he replaced if needed at an additional cost as follows: a. - Sheathing• S
75.00 per sheet of plywood I S 4.50 per LF up,to Is8 / $ 5.50`-for txIO and l x12. b. Fascia and
Structural Wood Members: S 7.5(YpciLI7 (no paint included); STANDARD FEATURES e
PRC to.
furnish labor and materials. 3 PRC to
furnish building permit as needed. All work to conform to today's local building codes. General clean up
and haul off all work related debris from property. PRC provides the
following workmanship warranties: Roof: 4-years All others' 1-year PAYMENT TERMS: The
Owner's deductible due upon acceptance and signing of this contract. I!3 On
Commencement day. Payment of completed trade; Balance on Completion. Lic. 4 CCC-
057594 W,,VN test retea om, kr ti rcroolsen tees com
S :vP.ut f"
THIS INi , rs rtl NT PREPARED BY:
Name: Premiere Roofing and Carpentry
Address: fAlz
NOTICE OF COM ENCEIliIENT
Permit Number:
Parcel ID Number: ,31-/mil-a/-5//-1Pot70-07 M
e;i r ill i`iPLIIYt 01.11,10LE t:t)I_}H Y
i}:_
I. t_111_lll'c C:tlt`IF'i'FtOi_i_EFt:
CLERK'S t 2017076906
I.,Ef:0iiili_;D 11;I'7.l: i.11 1.iav,j nlil. i`11"
F:E:('.[}REi1aiti F'E=E=; •i...`S'_1
F.'EC ORDE 1. 13'i'
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencement.
1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
A3oI GcaK6(. 4W Amt..
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Re -Roof
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: lStq1n ,1LnQUi5t- 230I Grav\oLyi,eL'> 9yi. 56hvt,kprok ( )nz3277) Interest
in property: VVI(Lf% Fee
Simple Title Holder (if other than owner listed above) Name: A Yri2_ 4.
CONTRACTOR: Name: Premiere Roofing and Carpentry Address:
5611 Carder Rd Orlando, FL 32804 5.
SURETY (If applicable, a copy of the payment bond is attached): Address:
6.
LENDER: Name: Address:
Phone
Number: 407-578-6893 Phone
Number: Amount
of Bond: 7.
Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe served as provided by Section 713.13(1)(a)7., Florida Statutes. 8.
In addition, Owner designates Phone
Number: of
to
receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number: 9.
Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording unless a different date is specified) WARNING
TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST, INSPECTION. IF YOU. INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. State
of L County
of 5-mI C The
foregoing instrument was acknowledged before me this p day of J k i t by
Vtq Who is personally known to me OR Name
of person making statement who
has produced identification type of identification produced: PL- *CNN rotARy,
lsSo JONATHON
ALLEN THOMAS e
NOTARY PUBLIC r
STATE OF FLORIDA y,. {
Comm# FF055234 s
4'cE 19 expires 9/18/2017
LEGAL DESCRIPTION:
LOT 78 + BEG NW COR LOT 79 RUN SWLY ON WLY LINE 73.64 FT S 68 DEG 03 MIN E
106.8 FT N 25 DEG E 43.1 FT N 52 DEG 21 MIN 30 SEC W 113.3 FT TO BEG ROSE
COURT PB 3 PG 4 & BEG 120.5 FT N 25 DEG E OF SW COR LOT A RUN N 25 DEG
E 106.1 FT E 104.72 FT S 25 DEG W 145.28 FT N 68 DEG 03 MIN W 95.05 FT TO
BEG PLAT OF SEC 31 TP 19S RGE 31E PB 2 PG 8
F _ D`
City of Sanford Building Division
Residential Re -Roof Inspection Policy & Procedures
PERMITTING REQUIREMENTS — NO PLAN REVIEW REQUIRED
This document (signed) along with an accurate and completed Residential Re -Roof Scope of Work are required
to be submitted as part of your permit application.
The Scope of Work must include all applicable Florida Product Approval numbers for all roof components thatwillbeinstalledontheproject.
A permit will not be issued without these documents. Copies will be made to post on the job site.
Projects located in the Sanford Historic District will require plan review and approval by the SanfordHistoricPreservationBoard
INSPECTION POLICY & PROCEDURES
A Final Roof Inspection is the only inspection required for Residential (Single Family, Townhouse, MobileHome, Apartment and/or Condominium) Re -Roof Permits.
The Following is required to be provide on the job site:
Permit Card, posted in a conspicuous and weatherproof location
Completed Residential Re -Roof Scope of Work
Completed and Notarized Inspection Affidavit
All Florida Product Approval and Corresponding Installation Instructions
Product Approval shall match what is on the scope of work)
Digital Photographs (must include the permit number or address in each picture)
o Each plane of the roof, showing the underlayment installed
o Roof Deck Nailing Pattern & Spacing (including a measuring device or ruler)
o Roof Deck Nails used (including a measuring device or ruler showing size of nails)
o Underlayment Pattern & Spacing (including a measuring device or ruler)
o Drip Edge & Valley Attachment (including a measuring device or ruler)
o Shingles installed, nail pattern and location of nails
Skylights (if applicable)
o Digital photographs showing all installation components, per FL Product Approval
o Digital photographs showing all required flashing, per FL Product Approval
Failure to follow these specific guidelines will result in an affidavit provided by a Florida Design
Professional (architect or engineer), certifying FBC code compliance by personal inspection.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: r2_'
DATE: 77 /
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS: Q301 Ca(0ri4U i L 3 19 v Q-
STRUCT_URE_T_YPE: SINGLE AMILY SIDENCE TOVN-HOUSE---OMOBILE-HOME O-APARTMENT/CONDOMINNM
RE -ROOF TYPE: REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE.V ITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): /2 in J, L
PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXL
ROOF VENTILATION: O OFF -RIDGE O RIDGE
DECK IS PERMITTED I OBE KLFLA(-EU
O SOFFIT QPOWERED VENT Q TURBINES
SKYLIGHTS: O YES ONO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: LESS THAN 2:12 l 2:12 - 4:12 O 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
SHINGLE G)q F FL# / b i a y
Q METAL FL#
MODIFIED BITUMEN FL# b O
Q TORCH DOWN FL#
Q INSULATED FL#
O TILE FL#
O OTHER: FL#
ROOF EXTENSIONS (PORCHES, PATIOS ETC.) **1FAPPLICABLE**
ROOF SLOPE: O LESS THAN 2:12 Q 2:12-4:12 O 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
O SHINGLE FL#
Q METAL FL#
Q MODIFIED BITUMEN FL#
Q TORCH DOWN FL#
O INSULATED FL#
Q TILE FL#
0 OTHER: FL#